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1.
J Nurs Adm ; 51(10): 488-494, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34519700

RESUMO

OBJECTIVE: The aim of this study was to describe the relationships between perceptions of the pandemic impact on clinical nurses' and nurse leaders' intent to leave their current position and the profession and the differences in pandemic impact and intent to leave variables based on background factors. BACKGROUND: There is much discussion and concern about the COVID-19 pandemic impact on nurses' health and the nursing workforce. METHODS: More than 5000 nurses from a national sample participated in a cross-sectional, descriptive study. Participants rated their perceptions of the pandemic impact on their practice and their intent to leave their position and profession. RESULTS: Pandemic impact was rated high overall and was highest in nurses with 25+ years of experience and in managers/directors. Eleven percent of the total sample indicated they intended to leave their position, and 20% were undecided. Nurses who rated pandemic impact at the highest level had higher intent to leave their position. Of the respondents, less than 2% indicated they were leaving the nursing profession, whereas 8% were undecided. CONCLUSIONS: This is the 1st quantitative report of perceived level of pandemic impact on direct care nurses and nurse managers/directors at the time of this writing. The combination of those who intend to leave and those who are uncertain about leaving their positions could cause instability in the workforce if not reversed. Organizational attention to nurse well-being, work environment and staffing is imperative.


Assuntos
COVID-19/psicologia , Intenção , Enfermeiras e Enfermeiros/psicologia , Reorganização de Recursos Humanos , Recursos Humanos/estatística & dados numéricos , Local de Trabalho , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Autorrelato , Estados Unidos
2.
Nurs Adm Q ; 45(4): 324-329, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34469390

RESUMO

Narrative Nursing is a form of storytelling that is used as an intervention with nurses to empower them to share their profound experiences in the nurse-patient relationship. Nurses participating in the Narrative Nursing workshops each share an individual encounter that was meaningful in their own nursing career. The shared experience serves to acclaim the power of nurses as leaders at the point of care and nurse leaders mentoring others. Four stories of nurse leadership are included in this article, 2 from clinical nurses providing care at the bedside and 2 from nurses in leadership roles. Participants in Narrative Nursing describe the workshops as inspirational, affirming, and empowering of the essence of professional nursing. Leadership lessons learned from the Narrative Nursing experiences thus far are included as are plans for future work to inspire all nurses at all levels of leadership. The future work includes embedding the intervention within relationship-based leadership theories.


Assuntos
Liderança , Mentores , Humanos , Poder Psicológico
3.
Nurs Outlook ; 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34183189

RESUMO

BACKGROUND: Studies have found race-related stress psychologically and physiologically harms members of stigmatized racial groups. However, the stressor is racism, not race. PURPOSE: This study examined the relationship between racism-related stress and psychological resilience in Black/African American nurses. METHOD: This study used a cross-sectional, quantitative, correlational design with two instruments, an investigator-developed demographic questionnaire and a convenience sample. FINDINGS: Participants perceived they have low psychological resilience in stressful situations. With racism-related stress, in particular, participants perceived they are affected by both lived and vicarious racism - ruminating over past occurrences, and expecting/worrying that racism will happen to them or other Black/African American people. There was a significant positive correlation between participants' perceived psychological resilience, their ability to assess the nature of the racism-related stressor and their ability to mitigate its harmful effects by identifying and utilizing their coping resources. There was a negative correlation between racism-related stress and psychological resilience. DISCUSSION: There is a need for continued research on racism-related stress among Black/African American nurses. Further, healthcare organizations, advisably through their diversity, equity and inclusion (DEI) programs, must develop systemic approaches to meeting the unique needs of the Black/African American workforce.

6.
J Nurs Adm ; 51(5): 257-263, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-33882553

RESUMO

OBJECTIVE: The aim of this study was to determine the pandemic impact on the relationship between nurses' perception of the authentic nurse leadership (ANL) of their manager and their perception of the work environment. BACKGROUND: Both ANL and healthy work environment (HWE) contribute to staff and patient outcomes. Our 1st study of these 2 variables revealed a positive relationship. Will this be upheld in a pandemic year? METHODS: More than 5000 nurses from a national sample participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire, the Critical Elements of a Healthy Work Environment Scale, and a pandemic impact on practice question. RESULTS: Overall, nurses perceived ANL and HWE were present despite a high level of pandemic impact; however, when clinical nurses were separated from managers/directors, HWE was not present for frontline nurses. The moderate correlation of ANL and HWE was replicated in this larger study. CONCLUSIONS: This is the 2nd study of the positive relationship between ANL and HWE using these models, supporting ANL as an essential standard of a HWE. ANL was present for clinical nurses in a pandemic year signaling that nurse leaders rose to meet frontline leadership needs. HWE was present overall, but not for clinical nurses. Leadership is essential to work environments and outcomes especially in times of crisis and significant change.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , COVID-19/epidemiologia , Estudos Transversais , Humanos , Satisfação no Emprego , Autoeficácia , Local de Trabalho/psicologia
7.
Appl Nurs Res ; 58: 151414, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33648831

RESUMO

AIM: The purpose of this study was to examine nurses' use and knowledge of caffeine and high energy drinks (HED) in three countries. METHODS: Nurses in each country completed a survey on caffeine and HED use and knowledge. RESULTS: In a sample of 182 nurses, caffeine use was high with 92% of nurses in Korea, 90.8% in Italy and 88.1% in the United States (US) having at least one cup of coffee a day while 64% of Koreans and 11.9% of those in the US had at least one HED per day. In Korea 68% of nurses (Italy 63.1% and 35.8% US) had at least one cup of caffeinated tea per day. Most agreed there is a need to educate nurses about HED, which contain high amounts of caffeine. Over half of nurses in Korea (58%) and the US (56.7%) said their colleagues consume HED at work. CONCLUSION: Findings of this study indicate many nurses are consuming caffeine at work and there is a need for education. It is unclear how caffeine affects nurses' clinical performance, which raises the issue of patient safety. Further research is needed regarding safe amounts of caffeine while nurses are on the job as well as an understanding of how HED additives may affect the well-being and clinical care of nurses.


Assuntos
Bebidas Energéticas , Enfermeiras e Enfermeiros , Cafeína , Bebidas Energéticas/análise , Humanos , República da Coreia , Inquéritos e Questionários , Estados Unidos
8.
J Am Psychiatr Nurses Assoc ; : 1078390321999713, 2021 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-33736519

RESUMO

OBJECTIVE: Eating disorders (EDs) are serious, complex illnesses with both behavioral and physical health features. EDs have high rates of medical and psychiatric morbidity, and a 6% mortality rate, the highest of any mental illness. Early detection of EDs offers the best opportunity for recovery; yet, estimates are that as few as one in 10 individuals with an ED receive treatment. The purpose of this article is to provide an ED identification and management overview for inpatient nurse clinicians in general psychiatric and medical settings, helping to facilitate timely recognition and care. METHOD: An overview of ED diagnostic criteria and two evidence-based ED tools are introduced for consideration. RESULTS: Opportunities to identify and help manage an ED are numerous. Most individuals with an ED make several health care visits in either medical or psychiatric settings without ever being screened for an ED. General ED screening and assessment tool familiarization can facilitate a treatment trajectory for these patients, improve overall quality of life, and may potentially result in a life-saving intervention for this often-deadly cluster of medical and psychiatric disorders. CONCLUSION: Screening and assessment in general clinical settings, identifying patients with undiagnosed EDs, beginning basic treatment plans, and referrals for appropriate follow-up care, have the potential to reduce ED recidivism and related health care costs. Simultaneously, and most important, long-term outcomes for patients with EDs may improve.

9.
J Nurs Educ ; 60(1): 20-24, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33400803

RESUMO

BACKGROUND: Global Health is an emerging field that refers to the health and well-being of the world's population. It is crucial that the next generation of nurses is prepared as global health advocates. There is no prior research of self-assessed global health competencies among nursing faculty in U.S. prelicensure programs. The aim of this study was to determine the level of global health competencies (knowledge and skills) of nursing faculty in U.S. prelicensure programs. METHOD: Attendees at the National League for Nursing Education Summit completed the Global Health Competencies survey. RESULTS: Survey participants (N = 161) reported a 66.76% confidence in their knowledge of global health and 61.4% confidence in global health skills with patients from different backgrounds. Three areas of educational needs were identified: (a) the relationship between health and access to clean water, sanitation, and nutrition; (b) cultural competency; and (c) understanding the relationship between health and human rights. CONCLUSION: Nursing faculty participants identified several areas for improvement in their knowledge of global health issues. [J Nurs Educ. 2021;60(1):20-24.].


Assuntos
Competência Clínica , Educação em Enfermagem , Docentes de Enfermagem , Saúde Global , Currículo , Educação em Enfermagem/estatística & dados numéricos , Avaliação Educacional , Docentes de Enfermagem/normas , Docentes de Enfermagem/estatística & dados numéricos , Humanos
10.
Nurse Lead ; 19(1): 95-100, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32922218

RESUMO

Even before the current pandemic, the nurse leader (NL) role was demanding of time, energy, and resources. These demands often cause stress, fatigue, and burnout. The focused-on outcome metrics, increased regulations, and economic downturn are challenges that NLs have continued to face. This study, undertaken before the pandemic, provides understanding of the professional quality of life and work engagement among NLs. Findings revealed that experienced NLs with doctorates have higher levels of compassion satisfaction and engagement, and have lowest levels of burnout and secondary traumatic stress. Minimizing compassion fatigue among NLs is imperative as they foster organizational cultures of compassion and engagement. Future research post-pandemic is recommended, especially as the demands have increased significantly.

11.
Arch Psychiatr Nurs ; 34(6): A7, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33280684
12.
Appl Nurs Res ; 56: 151341, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33280784

RESUMO

OBJECTIVE: (1) Determine the rate of completion of glucose screening for diabetes in the postpartum period for women who had gestational diabetes mellitus, and (2) compare the rates of follow up glucose screening among women who had A1GDM or A2GDM 4-12 weeks postoartum. DESIGN: A retrospective comparative study. SETTING: An academic hospital in an urban community. PARTICIPANTS: One hundred and seventy-five women with gestational diabetes who gave birth between January 2012 and September 2015. METHODS: The electronic medical record was reviewed to confirm diagnosis of gestational diabetes at 24-28 weeks and completion of 4-12 weeks postpartum glucose screening. All consecutive women meeting eligibility criteria were included. RESULTS: The rate of postpartum glucose screening was 38.9%. There were 22 (31.0%) women with A1GDM and 46 (44.2%) women with A2GDM who had postpartum glucose screening (χ2 = 3.12, p = 0.08). CONCLUSIONS: The type of GDM, did not affect the rate of follow-up for postpartum glucose screening. Strategies need to be developed to improve postpartum screening rates in women with gestational diabetes.


Assuntos
Diabetes Mellitus Tipo 2 , Diabetes Gestacional , Glicemia , Diabetes Gestacional/diagnóstico , Feminino , Glucose , Teste de Tolerância a Glucose , Humanos , Programas de Rastreamento , Período Pós-Parto , Gravidez , Estudos Retrospectivos
13.
Arch Psychiatr Nurs ; 34(4): 191, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32828346
14.
J Nurs Adm ; 50(9): 489-494, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826518

RESUMO

OBJECTIVE: The aim of this study was to determine the relationship between clinical nurses' perception of the authentic nurse leadership of their manager and their perception of the work environment on their unit. BACKGROUND: Authentic leadership (AL) and healthy work environments contribute to staff engagement and improved patient outcomes. There is limited research linking these 2 variables. METHODS: Two hundred fifty-four clinical nurses at a national conference participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire and the Critical Elements of a Healthy Work Environment Survey. RESULTS: Overall, nurses rated the authentic nurse leadership of their manager as present most of the time and agreed their work environment was healthy. There was a moderate correlation between AL and healthy work environment. Background variables were not significantly related to nurses' perceptions of the authentic nurse leadership of their manager or their work environment. CONCLUSIONS: This is the 1st study using these authentic nurse leadership and healthy work environment frameworks. In this novel nursing model of AL, caring is an attribute that was valued by frontline nurses. This is a call to action for leadership development at every level using AL principles and for the improvement of lagging domains in nursing work environments, both critically needed during challenging healthcare times and for the ultimate purpose of improving patient and workforce outcomes.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Modelos de Enfermagem , Enfermeiras Administradoras/organização & administração , Inquéritos e Questionários , Local de Trabalho/organização & administração
15.
17.
Holist Nurs Pract ; 34(5): 274-281, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33953010

RESUMO

This study shows that breathing mindfully for 3 minutes over a period of 4 weeks, positively affects compassion fatigue in nurses. A nonrandomized, pre/postintervention study was conducted using a 3-minute attentional breathing intervention. Thirty-two nurses participated over 4 weeks. The intervention demonstrated statistically significant reductions in compassion fatigue measures.


Assuntos
Fadiga por Compaixão/terapia , Atenção Plena/métodos , Enfermeiras e Enfermeiros/psicologia , Adulto , Fadiga por Compaixão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena/instrumentação , Psicometria/instrumentação , Psicometria/métodos , Qualidade de Vida/psicologia
18.
Arch Psychiatr Nurs ; 33(5): 94-101, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31711602

RESUMO

BACKGROUND: Self-injurious behavior (SIB), when frequent and repetitive, can lead to risk behaviors resulting in accidental or intentional suicide. Psychoeducation about resourcefulness can be critical to interrupt the cycle of self-injury. Therapeutic puppetry provides a safe and secure vehicle for expressing feelings without fear of retaliation. OBJECTIVES: Determine the outcome of a resourcefulness psychoeducation program, utilizing hand puppets as a teaching tool, on the measure of resourcefulness for adult women who self-injure. METHODS: A psychoeducation program, utilizing hand puppets as a teaching tool, was offered to women during psychiatric hospitalization. Participants completed the Resourcefulness Scale (RS) pre and post intervention. A program evaluation to determine the effectiveness of hand puppets was completed. Acceptability and feasibility of the program was evaluated. RESULTS: Sixteen participants completed the program. Results showed a statistically insignificant increase in scores. The program evaluation revealed agreement that resourcefulness learning was accomplished. Participants reported that hand puppets were helpful in practicing resourcefulness skills. Majority of participants recommended continuation of the program.


Assuntos
Adaptação Psicológica , Aprendizagem , Jogos e Brinquedos , Unidade Hospitalar de Psiquiatria , Comportamento Autodestrutivo/terapia , Adulto , Feminino , Humanos , Avaliação de Programas e Projetos de Saúde , Comportamento Autodestrutivo/psicologia , Inquéritos e Questionários
20.
Nurs Educ Perspect ; 40(5): 291-294, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436692

RESUMO

AIM: The study purpose was to describe current international clinical experience (ICE) practices in RN prelicensure programs in the United States. BACKGROUND: There is interest in ICE to fulfill the goal of preparing global citizens; however, lack of evidence on developing, implementing, and evaluating best practices for ICE limits the enactment of this approach. METHOD: An electronic survey was completed by 900 deans and/or directors of diploma, associate, bachelor's, accelerated bachelor's, and master's-entry RN prelicensure programs. RESULTS: Respondents (n = 241, 27 percent) indicated their programs included ICE. Across programs, ICE occurred most often in community health courses. The predominant reason for offering ICE was alignment with the institutional mission and vision. CONCLUSION: Wide variability exists in methods used to implement ICE for credit toward the nursing major. There is a need to continue to assess and disseminate best practices in implementing ICE to accomplish the goal of global health engagement.


Assuntos
Bacharelado em Enfermagem/organização & administração , Intercâmbio Educacional Internacional , Saúde Global , Objetivos , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Inquéritos e Questionários , Estados Unidos
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